Provider Demographics
NPI:1841422862
Name:GHASTER, CHRISTY MARKLEY (MSSA, LSW)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:MARKLEY
Last Name:GHASTER
Suffix:
Gender:F
Credentials:MSSA, LSW
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LYNNE
Other - Last Name:MARKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:820 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566-1215
Mailing Address - Country:US
Mailing Address - Phone:419-878-3084
Mailing Address - Fax:
Practice Address - Street 1:600 FREEDOM DR
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9038
Practice Address - Country:US
Practice Address - Phone:419-599-1660
Practice Address - Fax:419-592-8336
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS-0014303104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker